Volume 10, Issue 3 (4-2025)                   SJNMP 2025, 10(3): 294-307 | Back to browse issues page

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niazi N, drayesh S, Garousian M, Elaheh Talebi-Ghane E, Daneshvar F, Radnia N, et al . Investigating the effect of training in non-pharmacological pain management principles on the performance of neonatal intensive care nurses in Hamadan. SJNMP 2025; 10 (3) :294-307
URL: http://sjnmp.muk.ac.ir/article-1-649-en.html
1- Clinical Research Development Unit of Fatemieh Hospital
2- Clinical Research Development Unit of Fatemieh Hospital , Nalimohamadi44@gmail.com
Abstract:   (77 Views)
Background & Aim: Pain assessment and control is one of the most important nursing practices, to the extent that some sources consider it the fifth vital sign. Pain is a subjective concept, infants, like adults, are unable to express it. For this reason, the destructive effects of pain in infants, especially those who are hospitalized and have to undergo painful procedures are greater. Due to low awareness of this issue, appropriate action is not taken and the correct training strategy for pain control for health personnel is still an issue that has been neglected. This study aimed to determine the effect of training on non-pharmacological control of neonatal pain by nurses in the neonatal intensive care unit of Hamadan.
Materials & Methods: This semi-experimental study was conducted as a pre-test-post-test on 55 NICU nurses of Fatemeh Hospital, Hamadan, who were included in the study through a census, in 2023. Data were collected using a researcher-made tool including two parts: demographic information and a checklist of nurses' performance in relation to pain management. First, their performance in non-pharmacological pain control in infants was evaluated, then they were given training in non-pharmacological pain control methods in the form of a workshop, and then they were evaluated again 4 weeks later.
Result: The average performance score of the nurses studied before and after training was higher than the average value of 50 which showed that the nurses had average performance in the field of pain management. The average performance score of the nurses studied after training increased by an average of 25.88 compared to before training. Using a paired t-test, this increase in the average performance score was statistically significant (p<0.001).
Conclusion: The results showed that holding a pain management training workshop increases the skills and improves the performance of nurses in non-pharmacological pain control in infants. Therefore, it is recommended that periodic and in-service training be provided on neonatal pain, its complications, and its control in order to prevent long-term and short-term complications of pain in neonates, such as hemodynamic instability, anxiety, etc.
 
     
Type of Study: Research | Subject: Special
Received: 2025/01/23 | Revised: 2025/06/28 | Accepted: 2025/04/9 | Published: 2025/04/9 | ePublished: 2025/04/9

References
1. Aslam A, Rafiq Z, Sultana M. The Relationship between the Nurses’ Training and Neonatal Pain Management in Jinnah Hospital, Lahore, Pakistan. Pakistan Social Sciences Review. 2024;8(2):579-85.
2. Neshat H, Hassankhani H, Jabraeili M, Negarandeh R, HOSSEINI MB, Mahallei M. Views of nurses regarding pain control in neonatal intensive care units. Family Medicine & Primary Care Review. 2022;24(4).
3. Sayed AM. Assessment of Nurses' Performance Regarding Non-Pharmacological Pain Management of Neonates in Intensive Care Unit. Helwan International Journal for Nursing Research and Practice. 2024;3(7):409-23.
4. Mirzaei M, Nasimi F. The effect of pain management in children and neonatal on practice of pediatric and NICU nurses. Development Strategies in Medical Education. 2021;8(2):21-9. [Persian]
5. Shahbazi F, Fattahi-Darghlou M, Moslehi S, Dabiri-Golchin M, Shahbazi M. Effect of music therapy on behavioral and physiological neonatal outcomes: A systematic review and dose-response meta-analysis. PloS one. 2025;20(1):e0316674.
6. Krishnan L. Pain relief in neonates. Journal of neonatal surgery. 2013;2(2).
7. Carbajal R, Rousset A, Danan C, Coquery S, Nolent P, Ducrocq S, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. Jama. 2008;300(1):60-70.
8. Popowicz H, Mędrzycka-Dąbrowska W, Kwiecień-Jaguś K, Kamedulska A, editors. Knowledge and practices in neonatal Pain Management of nurses employed in hospitals with different levels of Referral—Multicenter Study. Healthcare; 2021: MDPI.
9. Salim I, Ejheisheh MA, Ayed A, Aqtam I, Batran A. Barriers and practices in pain management for intubated patients: A study of critical care nurses in Southern West Bank hospitals. PloS one. 2025;20(3):e0320430.
10. Pouralizadeh M, Shafipour S, Farmanbar R, Atrkar Roshan Z, Alamshoshtary M. During Blood Sampling in Neonates. Journal of Guilan University of Medical Sciences. 2007;16(62):87-94.[Persian]
11. Dehghan A, Salmani N, Dehghani K. The Effect of Training on Neonatal Intensive Care Nurses’ Performance Regarding Pain Management in Premature Neonates. Iranian Journal of Nursing Research (IJNR) Original Article. 2022;17(4). [Persian]
12. Costa T, Rossato, L., Bueno, M., Secco, I., Sposito, N., Harrison, D., & Freitas, J. Nurses' knowledge and practices regarding pain management in newborns. Revista da Escola de Enfermagem da USP. 2017;51(Costa T, Rossato LM, Bueno M, Secco IL, Sposito NPB, Harrison D, et al. Nurses’ knowledge and practices regarding pain management in newborns. RevEsc Enferm USP. ):e03210.
13. Abd El-Aziz DE, Abd El Aziz MA, Adly R, El Sallab S. Improving nurses' performance towards non-pharmacological pain management among neonates in neonatal intensive care unit. IOSR Journal of Nursing and Health Science. 2018;7(4):83-97.
14. Salim NA, Joshua R, AbuBaker NA, Chehab F, Jose A. Effect of a nursing in-service education program on nurses’ knowledge and attitudes towards pain management in a governmental hospital in the United Arab Emirates: experimental random assignment study. Dubai Medical Journal. 2020;2(4):146-52.
15. Mehrnoush N, Ashktorab T, Heidarzadeh M, Momenzadeh S, Khalafi J. Factors influencing neonatal pain management from the perspectives of nurses and physicians in a neonatal intensive care unit: a qualitative study. Iranian Journal of Pediatrics. 2018;28(1).
16. Collados-Gómez L, Camacho-Vicente V, González-Villalba M, Sanz-Prades G, Bellón-Vaquerizo B. Neonatal nurses’ perceptions of pain management. Enfermería Intensiva (English Ed). 2018;29(1):41-7.
17. Maghami M, Aghababaeian H, Majin S, Moosavi A, Tahery N. Knowledge, attitude and performance of the nurses working in neonatal wards about treatment of pain in neonates. Journal of Chemical and Pharmaceutical Sciences. 2016;9(4):2796-801.
18. Asadi-Noghabi F, Tavassoli-Farahi M, Yousefi H, Sadeghi T. Neonate pain management: what do nurses really know? Global journal of health science. 2014;6(5):284.
19. Germossa GN, Sjetne IS, Hellesø R. The impact of an in-service educational program on nurses' knowledge and attitudes regarding pain management in an Ethiopian university hospital. Frontiers in public health. 2018;6:229.
20. Anne RP, Deshabhotla S, Ahmed SW, Ahmed SJ, Reddy N, Farooqui D, et al. A quality improvement initiative to improve management of procedural pain in preterm neonates. Pediatric Anesthesia. 2021;31(2):221-9.
21. Christoffel MM, Castral TC, Daré MF, Montanholi LL, Scochi CGS. Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain. Revista Brasileira de enfermagem. 2016;69:552-8.
22. Pölkki T, Korhonen A, Laukkala H, Saarela T, Vehviläinen‐Julkunen K, Pietilä AM. Nurses’ attitudes and perceptions of pain assessment in neonatal intensive care. Scandinavian journal of caring sciences. 2010;24(1):49-55.
23. Walter-Nicolet E, Annequin D, Biran V, Mitanchez D, Tourniaire B. Pain management in newborns. Pediatric Drugs. 2010;12(6):353-65.
24. He HG, Jahja R, Lee TL, Ang ENK, Sinnappan R, Vehviläinen‐Julkunen K, et al. Nurses’ use of non‐pharmacological methods in children’s postoperative pain management: educational intervention study. Journal of Advanced Nursing. 2010;66(11):2398-409.
25. Costa T, Rossato LM, Bueno M, Secco IL, Sposito NPB, Harrison D, et al. Nurses' knowledge and practices regarding pain management in newborns. Revista da Escola de Enfermagem da USP. 2017;51.

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